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CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 401k Plan overview

Plan NameCHILD DEVELOPMENT, INC. GROUP HEALTH PLAN
Plan identification number 502

CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

CHILD DEVELOPMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name:CHILD DEVELOPMENT, INC.
Employer identification number (EIN):232212539
NAIC Classification:624410
NAIC Description:Child Day Care Services

Additional information about CHILD DEVELOPMENT, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1973-04-17
Company Identification Number: 055806
Legal Registered Office Address: 101 CRESLANE

MAQUOKETA
United States of America (USA)
52060

More information about CHILD DEVELOPMENT, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-01
5022021-05-01
5022020-05-01
5022019-05-01
5022018-05-01
5022017-05-01LORRAINE OGDEN
5022016-05-01LORRAINE OGDEN
5022015-05-01LORRAINE OGDEN

Plan Statistics for CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN

401k plan membership statisitcs for CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN

Measure Date Value
2022: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-0169
Total number of active participants reported on line 7a of the Form 55002022-05-0161
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-0161
2021: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-0188
Total number of active participants reported on line 7a of the Form 55002021-05-0169
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-0169
2020: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-0189
Total number of active participants reported on line 7a of the Form 55002020-05-0188
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-0188
2019: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-0189
Total number of active participants reported on line 7a of the Form 55002019-05-0189
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-0189
2018: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-0177
Total number of active participants reported on line 7a of the Form 55002018-05-0187
Number of retired or separated participants receiving benefits2018-05-012
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-0189
2017: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-0180
Total number of active participants reported on line 7a of the Form 55002017-05-0176
Number of retired or separated participants receiving benefits2017-05-011
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0177
2016: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-0173
Total number of active participants reported on line 7a of the Form 55002016-05-0179
Number of retired or separated participants receiving benefits2016-05-011
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0180
2015: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-0170
Total number of active participants reported on line 7a of the Form 55002015-05-0173
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-0173

Financial Data on CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN

Measure Date Value
2023 : CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2023 401k financial data
Total plan liabilities at end of year2023-04-30$217,602
Total plan liabilities at beginning of year2023-04-30$145,260
Total income from all sources2023-04-30$859,903
Expenses. Total of all expenses incurred2023-04-30$1,247,572
Benefits paid (including direct rollovers)2023-04-30$661,793
Total plan assets at end of year2023-04-30$82,681
Total plan assets at beginning of year2023-04-30$398,008
Value of fidelity bond covering the plan2023-04-30$500,000
Total contributions received or receivable from participants2023-04-30$78,929
Expenses. Other expenses not covered elsewhere2023-04-30$296,551
Contributions received from other sources (not participants or employers)2023-04-30$1,637
Other income received2023-04-30$379
Net income (gross income less expenses)2023-04-30$-387,669
Net plan assets at end of year (total assets less liabilities)2023-04-30$-134,921
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$252,748
Total contributions received or receivable from employer(s)2023-04-30$778,958
Value of corrective distributions2023-04-30$284,725
Expenses. Administrative service providers (salaries,fees and commissions)2023-04-30$4,503
2022 : CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2022 401k financial data
Total plan liabilities at end of year2022-04-30$145,260
Total plan liabilities at beginning of year2022-04-30$52,262
Total income from all sources2022-04-30$944,542
Expenses. Total of all expenses incurred2022-04-30$835,283
Benefits paid (including direct rollovers)2022-04-30$494,792
Total plan assets at end of year2022-04-30$398,008
Total plan assets at beginning of year2022-04-30$195,751
Value of fidelity bond covering the plan2022-04-30$500,000
Total contributions received or receivable from participants2022-04-30$93,635
Expenses. Other expenses not covered elsewhere2022-04-30$321,562
Other income received2022-04-30$735
Net income (gross income less expenses)2022-04-30$109,259
Net plan assets at end of year (total assets less liabilities)2022-04-30$252,748
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$143,489
Total contributions received or receivable from employer(s)2022-04-30$850,172
Expenses. Administrative service providers (salaries,fees and commissions)2022-04-30$18,929
2021 : CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2021 401k financial data
Total plan liabilities at end of year2021-04-30$52,262
Total plan liabilities at beginning of year2021-04-30$55,462
Total income from all sources2021-04-30$1,031,027
Expenses. Total of all expenses incurred2021-04-30$1,014,276
Benefits paid (including direct rollovers)2021-04-30$573,757
Total plan assets at end of year2021-04-30$195,751
Total plan assets at beginning of year2021-04-30$182,200
Value of fidelity bond covering the plan2021-04-30$500,000
Total contributions received or receivable from participants2021-04-30$107,903
Expenses. Other expenses not covered elsewhere2021-04-30$335,326
Contributions received from other sources (not participants or employers)2021-04-30$1,331
Other income received2021-04-30$659
Net income (gross income less expenses)2021-04-30$16,751
Net plan assets at end of year (total assets less liabilities)2021-04-30$143,489
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$126,738
Total contributions received or receivable from employer(s)2021-04-30$921,134
Value of corrective distributions2021-04-30$93,225
Expenses. Administrative service providers (salaries,fees and commissions)2021-04-30$11,968
2020 : CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2020 401k financial data
Total plan liabilities at end of year2020-04-30$55,462
Total plan liabilities at beginning of year2020-04-30$71,438
Total income from all sources2020-04-30$986,499
Expenses. Total of all expenses incurred2020-04-30$1,005,009
Benefits paid (including direct rollovers)2020-04-30$482,696
Total plan assets at end of year2020-04-30$182,200
Total plan assets at beginning of year2020-04-30$216,686
Value of fidelity bond covering the plan2020-04-30$500,000
Total contributions received or receivable from participants2020-04-30$117,318
Expenses. Other expenses not covered elsewhere2020-04-30$301,228
Contributions received from other sources (not participants or employers)2020-04-30$3,448
Other income received2020-04-30$651
Net income (gross income less expenses)2020-04-30$-18,510
Net plan assets at end of year (total assets less liabilities)2020-04-30$126,738
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$145,248
Total contributions received or receivable from employer(s)2020-04-30$865,082
Value of corrective distributions2020-04-30$191,322
Expenses. Administrative service providers (salaries,fees and commissions)2020-04-30$29,763
2018 : CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2018 401k financial data
Total plan liabilities at end of year2018-04-30$61,364
Total plan liabilities at beginning of year2018-04-30$81,799
Total income from all sources2018-04-30$790,944
Expenses. Total of all expenses incurred2018-04-30$759,113
Benefits paid (including direct rollovers)2018-04-30$509,752
Total plan assets at end of year2018-04-30$91,118
Total plan assets at beginning of year2018-04-30$79,722
Value of fidelity bond covering the plan2018-04-30$500,000
Total contributions received or receivable from participants2018-04-30$125,919
Expenses. Other expenses not covered elsewhere2018-04-30$213,866
Contributions received from other sources (not participants or employers)2018-04-30$9,154
Other income received2018-04-30$138
Net income (gross income less expenses)2018-04-30$31,831
Net plan assets at end of year (total assets less liabilities)2018-04-30$29,754
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$-2,077
Total contributions received or receivable from employer(s)2018-04-30$655,733
Expenses. Administrative service providers (salaries,fees and commissions)2018-04-30$35,495
2017 : CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2017 401k financial data
Total plan liabilities at end of year2017-04-30$81,799
Total plan liabilities at beginning of year2017-04-30$215,417
Total income from all sources2017-04-30$684,427
Expenses. Total of all expenses incurred2017-04-30$485,364
Benefits paid (including direct rollovers)2017-04-30$257,046
Total plan assets at end of year2017-04-30$79,722
Total plan assets at beginning of year2017-04-30$14,277
Value of fidelity bond covering the plan2017-04-30$400,000
Total contributions received or receivable from participants2017-04-30$100,314
Expenses. Other expenses not covered elsewhere2017-04-30$189,788
Contributions received from other sources (not participants or employers)2017-04-30$3,399
Other income received2017-04-30$80
Net income (gross income less expenses)2017-04-30$199,063
Net plan assets at end of year (total assets less liabilities)2017-04-30$-2,077
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$-201,140
Total contributions received or receivable from employer(s)2017-04-30$580,634
Expenses. Administrative service providers (salaries,fees and commissions)2017-04-30$38,530
2016 : CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2016 401k financial data
Total plan liabilities at end of year2016-04-30$215,417
Total plan liabilities at beginning of year2016-04-30$0
Total income from all sources2016-04-30$585,240
Expenses. Total of all expenses incurred2016-04-30$786,380
Benefits paid (including direct rollovers)2016-04-30$580,789
Total plan assets at end of year2016-04-30$14,277
Total plan assets at beginning of year2016-04-30$0
Value of fidelity bond covering the plan2016-04-30$400,000
Total contributions received or receivable from participants2016-04-30$94,908
Expenses. Other expenses not covered elsewhere2016-04-30$167,106
Contributions received from other sources (not participants or employers)2016-04-30$0
Other income received2016-04-30$29
Net income (gross income less expenses)2016-04-30$-201,140
Net plan assets at end of year (total assets less liabilities)2016-04-30$-201,140
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$0
Total contributions received or receivable from employer(s)2016-04-30$490,303
Expenses. Administrative service providers (salaries,fees and commissions)2016-04-30$38,485

Form 5500 Responses for CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN

2022: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan funding arrangement – General assets of the sponsorYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2022-05-01Plan benefit arrangement – General assets of the sponsorYes
2021: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: CHILD DEVELOPMENT, INC. GROUP HEALTH PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01First time form 5500 has been submittedYes
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number22-2005057
Policy instance 1
Insurance contract or identification number22-2005057
Number of Individuals Covered61
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $169,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract number00531806
Policy instance 2
Insurance contract or identification number00531806
Number of Individuals Covered61
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $91,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500117
Policy instance 1
Insurance contract or identification number30500117
Number of Individuals Covered69
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $274,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500117
Policy instance 1
Insurance contract or identification number30500117
Number of Individuals Covered88
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $290,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500117
Policy instance 1
Insurance contract or identification number30500117
Number of Individuals Covered89
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $256,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered87
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $236,263
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered77
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $175,423
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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